Keasberry, J, Munyombwe, T, Duggal, M et al. (1 more author) (2013) A study of factors that influence the number of visits following traumatic dental injuries. British Dental Journal (BDJ), 214 (11). E28. ISSN 0007-0610
Abstract
Objective: To investigate in children the factors that influence the number of visits per tooth following traumatic dental injuries (TDI) to the permanent dentition. Method: A retrospective convenient sample of 100 children who had been treated for TDI at Leeds Dental Institute was identified. A multilevel negative binomial regression model was developed to identify factors influencing the number of visits per tooth. Data including age, gender, postcode, number of visits, treatment provided, number of teeth injured, type of periodontal and hard tissue diagnoses, healing modality, root maturity, pulp and tooth survival, and any history of previous or subsequent trauma to same tooth were analysed using SPSS 18.0 and MLWIN. Results: 186 teeth were affected by trauma in 100 patients. Median total number of visits per tooth was six visits with a range of 1-22 visits. The factors that were found to influence number of visits included: distance travelled, hard tissue diagnosis, periodontal injury diagnosis and pulp survival (P < 0.05). A mile increase in distance travelled from home to clinic led to a 1.2% reduction in the number of visits per month (-0.012; SE 0.005), a diagnosis of a severe hard tissue injury was associated with 44% increase (0.362; SE 0.105) compared to no hard tissue injury, a diagnosis of a complicated periodontal injury compared to no periodontal injury was associated with a 30% increase (0.260; SE 0.124), a diagnosis of a uncomplicated periodontal injury compared to no periodontal injury was associated with a 31% increase (0.271; SE 0.124) and a diagnosis and treatment for a non-vital tooth in comparison to a vital tooth led to a 26% increase (0.230; SE 0.080) in the number of visits. There was a significant variation in the number of treatment visits at patient level (0.260; SE 0.048). Conclusion: Complicated hard tissue injuries, complicated and uncomplicated periodontal injuries, diagnosis and treatment for pulp necrosis and the distance between clinic and patient's home all significantly influenced the number of visits needed to treat TDI.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Adolescent; Age Factors; Child; Dental Pulp; Dental Pulp Necrosis; Dentition, Permanent; Female; General Practice, Dental; Great Britain; Health Care Costs; Health Services Accessibility; Humans; Incisor; Male; Multilevel Analysis; Office Visits; Periodontium; Residence Characteristics; Retrospective Studies; Root Canal Therapy; Sex Factors; Tooth Crown; Tooth Injuries; Tooth, Nonvital |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Paediatric Dentistry (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Jun 2015 12:47 |
Last Modified: | 11 Jun 2015 12:47 |
Published Version: | http://dx.doi.org/10.1038/sj.bdj.2013.532 |
Status: | Published |
Publisher: | Nature Publishing Group |
Identification Number: | 10.1038/sj.bdj.2013.532 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:84608 |